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Kansas rates for HCPCS J7316

Injection Ocriplasmin 0.125 Mg (Code Was Deleted01/01/03 But Reinstated On 01/01/14) Sodium Hyaluronate 5 Mg For Intra-Articular Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.49 / $4,606.49 / $4,606.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.01 / $960.01 / $2,742.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.69 / $1,351.40 / $1,634.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.63 / $1,135.63 / $1,135.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.70 / $1,185.20 / $1,690.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,233.08